NASHVILLE, Tenn. - Health officials say they expect to see more cases of a Health officials say they expect to see more cases of a rare meningitis that's killed four of the more than two dozen people it's sickened.

Four other states have reported cases, with a total of 26 illnesses and four deaths, said Centers for Disease Control and Prevention spokesman Curtis Allen.

In addition to the 18 who are sick in Tennessee, one case has been reported in North Carolina, two in Florida, three in Virginia and two in Maryland. The other deaths include one each in Virginia and in Maryland, Allen said.

Investigators say the type of meningitis is not contagious and is believed to have come from a bad shipment of steroids.

Most of the cases are from a clinic in Nashville that was treating patients for back pain.

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